Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Shaw, LCSW, CADCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1861699563

Kevin Shaw, LCSW, CADCIII is an Addiction (Substance Use Disorder) Counselor in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2577 NE Courtney Dr
Bend, OR 97701-7638
Phone: (541) 322-7500
Fax: (541) 322-7565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4658 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 12-06-101U3 (OR)

Record details

NPI number1861699563
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CADCIII
Sole proprietorNo
NPI enumeratedJune 27, 2007
Last updated in NPPESNovember 25, 2013

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